Pancreatic
cancer
is
an
intractable
disease
with
the
worst
prognosis
of
all
cancers.
The
currently
used
treatment
regimens
do
not
significantly
impact
patient
survival,
and
therefore,
effective
strategies
are
urgently
needed.
Drug
repurposing,
which
identifies
new
indications
for
existing
approved
drugs,
has
proven
to
be
a
promising
approach
anti-cancer
drug
discovery.
Indeed
antihelmintic
drug,
pyrvinium
pamoate
shown
promise
as
anti-pancreatic
but
date,
inhibition
mitochondrial
function
only
mechanism
action
described
in
pancreatic
cancer.
This
study
showed,
using
2D
cell
cultures
3D
spheroids,
that
exhibited
short-
long-term
cytotoxicity,
inhibited
epithelial-to-mesenchymal
transition
invasion
migration.
Mechanistically,
induced
DNA
damage,
PI3K/AKT
survival
pathway,
triggered
cycle
arrests,
well
apoptotic
autophagic
death.
Importantly,
acted
synergistically
first-line
gemcitabine
culture
models.
provided
evidence
single
agent
combination
Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: April 18, 2024
Abstract
Cancer,
a
complex
and
multifactorial
disease,
presents
significant
challenge
to
global
health.
Despite
advances
in
surgical,
radiotherapeutic
immunological
approaches,
which
have
improved
cancer
treatment
outcomes,
drug
therapy
continues
serve
as
key
therapeutic
strategy.
However,
the
clinical
efficacy
of
is
often
constrained
by
resistance
severe
toxic
side
effects,
thus
there
remains
critical
need
develop
novel
therapeutics.
One
promising
strategy
that
has
received
widespread
attention
recent
years
repurposing:
identification
new
applications
for
existing,
clinically
approved
drugs.
Drug
repurposing
possesses
several
inherent
advantages
context
since
repurposed
drugs
are
typically
cost-effective,
proven
be
safe,
can
significantly
expedite
development
process
due
their
already
established
safety
profiles.
In
light
this,
present
review
offers
comprehensive
overview
various
methods
employed
repurposing,
specifically
focusing
on
treat
cancer.
We
describe
antitumor
properties
candidate
drugs,
discuss
detail
how
they
target
both
hallmarks
tumor
cells
surrounding
microenvironment.
addition,
we
examine
innovative
integrating
with
nanotechnology
enhance
topical
delivery.
also
emphasize
role
play
when
used
part
combination
regimen.
To
conclude,
outline
challenges
associated
consider
future
prospects
these
transitioning
into
application.
Journal of Hematology & Oncology,
Journal Year:
2025,
Volume and Issue:
18(1)
Published: Jan. 13, 2025
The
tumor
microenvironment
(TME)
is
integral
to
cancer
progression,
impacting
metastasis
and
treatment
response.
It
consists
of
diverse
cell
types,
extracellular
matrix
components,
signaling
molecules
that
interact
promote
growth
therapeutic
resistance.
Elucidating
the
intricate
interactions
between
cells
TME
crucial
in
understanding
progression
challenges.
A
critical
process
induced
by
epithelial-mesenchymal
transition
(EMT),
wherein
epithelial
acquire
mesenchymal
traits,
which
enhance
their
motility
invasiveness
progression.
By
targeting
various
components
TME,
novel
investigational
strategies
aim
disrupt
TME's
contribution
EMT,
thereby
improving
efficacy,
addressing
resistance,
offering
a
nuanced
approach
therapy.
This
review
scrutinizes
key
players
emphasizing
avenues
therapeutically
components.
Moreover,
article
discusses
implications
for
resistance
mechanisms
highlights
current
toward
modulation
along
with
potential
caveats.
Molecular Biology Reports,
Journal Year:
2023,
Volume and Issue:
50(9), P. 7667 - 7680
Published: July 7, 2023
Antiepileptic
drugs
are
versatile
with
the
potential
to
be
used
in
functional
drug
formulations
repurposing
approaches.
In
present
review,
we
investigated
anticancer
properties
of
antiepileptic
and
interlinked
cancer
epileptic
pathways.
Our
focus
was
primarily
on
those
that
have
entered
clinical
trials
positive
results
provided
good
preclinical
studies.
Many
contributing
factors
make
therapy
fail,
like
resistance,
tumor
heterogeneity,
cost;
exploring
all
alternatives
for
efficient
treatment
is
important.
It
crucial
find
new
targets
out
antitumor
molecules
from
already
clinically
validated
approved
utilizing
methods.
The
advancements
genomics,
proteomics,
other
computational
approaches
speed
up
repurposing.
This
review
summarizes
different
cancers
progression
brain.
Valproic
acid,
oxcarbazepine,
lacosamide,
lamotrigine,
levetiracetam
showed
beneficial
outcomes
against
cancers.
might
a
option
adjuvant
therapy,
but
there
need
investigate
further
their
efficacy
trials.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(3), P. 1977 - 1977
Published: Jan. 19, 2023
Pancreatic
cancer
(PC)
is
one
of
the
deadliest
malignancies,
with
an
increasing
incidence
and
limited
response
to
current
therapeutic
options.
Therefore,
more
effective
low-toxic
agents
are
needed
improve
PC
patients'
outcomes.
Resveratrol
(RSV)
a
natural
polyphenol
multiple
biological
properties,
including
anticancer
effects.
In
this
study,
we
explored
antiproliferative
activities
newly
synthetized
RSV
analogues
in
panel
cell
lines
evaluated
physicochemical
properties
most
active
compound.
This
derivative
exhibited
marked
effects
cells
through
mechanisms
involving
DNA
damage,
apoptosis
induction,
interference
cycle
progression,
as
assessed
using
flow
cytometry
immunoblot
analysis
proteins,
PARP
cleavage,
H2AX
phosphorylation.
Notably,
compound
induced
consistent
reduction
subpopulation
CD133+EpCAM+
stem-like
phenotype,
paralleled
by
dramatic
on
clonogenicity.
Moreover,
had
negligible
toxicity
against
normal
HFF-1
and,
thus,
good
selectivity
index
values
toward
lines.
Remarkably,
its
higher
lipophilicity
stability
human
plasma,
compared
RSV,
might
ensure
better
permeation
along
gastrointestinal
tract.
Our
results
provide
insights
into
action
contributing
activity
synthetic
analogue,
supporting
potential
value
search
for
safe
treatment.
Anti-Cancer Agents in Medicinal Chemistry,
Journal Year:
2022,
Volume and Issue:
23(10), P. 1122 - 1144
Published: May 22, 2022
Abstract:
Tumour
relapse,
chemotherapy
resistance,
and
metastasis
continue
to
be
unsolved
issues
in
cancer
therapy.
A
recent
approach
has
been
scrutinise
drugs
used
the
clinic
for
other
illnesses
modify
their
structure
increase
selectivity
cells.
Chloroquine
(CQ)
hydroxychloroquine
(HCQ),
known
antimalarials,
have
successfully
treated
autoimmune
neoplastic
diseases.
CQ
HCQ,
well-known
lysosomotropic
agents,
induce
apoptosis,
downregulate
autophagy,
tumour
microenvironment.
Moreover,
they
affect
Toll
9/NF-κB
receptor
pathway,
activate
stress
response
pathways,
enhance
p53
activity
CXCR4-CXCL12
expression
cells,
which
would
help
explain
effects
treatment.
These
compounds
can
normalise
tumourassociated
vasculature,
promote
activation
of
immune
system,
change
phenotype
tumour-associated
macrophages
(from
M2
M1),
stimulate
cancer-associated
fibroblasts.
We
aim
review
historical
aspects
its
derivatives
most
relevant
mechanisms
that
support
therapeutic
use
HCQ
treatment
cancer.
ANZ Journal of Surgery,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 22, 2025
Abstract
Background
Metformin
is
a
diabetes
medication
with
anti‐mitotic
properties.
A
narrative
review
was
performed
to
investigate
people
using
metformin
and
the
risk
of
developing
pancreatic
ductal
adenocarcinoma
(PDAC)
as
well
survival
outcomes
in
established
PDAC.
Methods
Relevant
studies
on
use
PDAC
were
retrieved
from
PubMed
including
observational
PDAC,
randomized
controlled
trials
treatment
Results
Of
367
searched,
26
fulfilled
criteria
for
this
review.
not
consistently
associated
reduced
However,
use,
especially
higher
cumulative
doses,
some
longer
patients
subgroup
resectable
more
advanced
(non‐resectable
metastatic)
Conclusion
may
be
overall
benefits
but
metastatic
subgroup.
The
evidence
date
does
support
routine
an
adjuvant
therapy
Cancer Management and Research,
Journal Year:
2025,
Volume and Issue:
Volume 17, P. 429 - 440
Published: March 1, 2025
Pancreatic
cancer
(PC)
remains
one
of
the
most
challenging
malignancies
to
treat.
Current
therapeutic
options
are
unsatisfactory,
and
there
is
an
urgent
need
for
more
effective
less
toxic
drugs
improve
dismal
prognosis
PC.
In
recent
years,
drug
repurposing
(DR)
has
emerged
as
attractive
strategy
identify
novel
treatments
PC
by
leveraging
existing
approved
other
indications.
Through
use
electronic
medical
records,
Artificial
Intelligence,
study
metabolic
pathways,
signalling
many
approaches,
it
become
much
easier
in
years
potential
uses
old
drugs.
Although
policy,
funding
research
attention
this
area
steadily
growing,
major
challenges
efficient
patient-centric
DR
be
addressed.
These
include
but
not
limited
regulatory,
financial
barriers
lack
coordination
collaboration
among
several
sectors
stakeholders.
To
explore
opportunities
associated
with
PC,
a
one-day
multi-stakeholder
meeting
was
held
on
14th
November
2024
Brussels,
Belgium
part
REMEDi4ALL
project.
This
provided
platform
researchers,
clinicians,
industry
representatives,
funders,
regulatory
experts,
patient
advocates
discuss
propose
actions
optimize
accelerate
Insights
from
support
enhance
treatment
while
highlighting
importance
systemic
supportive
changes
policy
landscapes,
interdisciplinary
collaboration,
data
sharing,
involvement
driving
innovation.
summary
highlights
key
outcomes
recommendations
informing
future
efforts
advance
initiatives
context
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(8), P. 2673 - 2673
Published: April 14, 2025
Epilepsy
is
a
neurological
disorder
characterized
by
repeated
convulsions.
Antiepileptic
drugs
(AEDs)
are
the
main
course
of
therapy
for
epilepsy.
These
medications
given
according
to
each
patient’s
personal
medical
history
and
types
seizures
they
suffer.
They
have
been
employed
decades
manage
epilepsy,
thus
delivering
relief
from
through
numerous
mechanisms
action.
Aside
their
anticonvulsant
attributes,
current
evidence
suggests
that
certain
AEDs
may
display
potential
inhibitory
effects
against
cancer
invasion
metastasis.
This
review
explored
complicated
interactions
between
modes
action
pathways
causing
cancer,
impact
on
metastasis
various
forms
while
addressing
associated
side
effects.
For
example,
valproic
acid
inhibits
histone
deacetylase,
hyperacetylation
genes,
especially
those
regulating
cell
cycle,
culminating
in
cycle
arrest.
Topiramate
carbonic
anhydrase,
disrupting
acidic
microenvironment
needed
cells
thrive.
Lacosamide
increases
slow
inactivation
voltage
gated
Na+
channel,
inhibiting
growth,
proliferation,
many
cancers.
Although
drug
development
complex
task
due
regulatory,
intellectual
property,
economic
challenges,
researchers
exploring
repurposing
tactics
overcome
these
challenges
find
new
therapeutic
alternatives
diseases
like
cancer.
Thus,
considered
among
most
effective
ways
develop
candidates
using
novel
properties
characteristics,
this
also
discusses
issues.